Claim Form Login

Welcome to the QTC Commercial Services, LLC d/b/a IMX Medical Management Services, LLP Data Breach Litigation Online Claim Form submission page

If you previously received notice from QTC Commercial Services, LLC that your personal information may have been affected by a data incident that occurred between June 2022 and October 2022 (the “Data Incident”), and you would like to receive a benefit from the Settlement, then you must complete a claim form.

Settlement Class Members may be eligible to receive a cash payment of $80.00 (an “Alternative Cash Payment”), OR (1) compensation for time spent (at a maximum of $100.00; “Time Spent”), and/or (2) reimbursement for documented unreimbursed losses (maximum payment of $1,750.00; “Ordinary Unreimbursed Losses”) and/or (3) documented unreimbursed extraordinary losses (maximum payment of $2,000.00; “Extraordinary Unreimbursed Losses”) from the proposed Settlement.

Please note that if you choose to receive compensation for Time Spent and/or reimbursement for documented losses, you are not eligible to receive the $80.00 Alternative Cash Payment.

Settlement Class Members may also be eligible to receive a payment of $100.00 if you were a resident of California at the time of the Data Incident.

Regardless of whether you submit a claim for payment of any amount, you may be eligible to receive two (2) additional years of credit monitoring and fraud protection with Equifax Credit Watch Gold.

To receive a payment and/or credit monitoring services, you must complete a Claim Form. Claim Forms must be submitted online or postmarked no later than August 21, 2025.

To start your online claim form, you must login with your Unique ID and PIN. If you received a notice of this Settlement, your Unique ID is on the top of the postcard notice. If you misplaced your notice, please contact the Settlement Administrator at info@QTCDataSettlement.com. Please request your Unique ID & PIN by providing the Class Member’s full name and mailing address.

You may also download a Claim Form here, and submit it, along with your supporting documentation by U.S. mail to:

QTC Settlement
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799

The deadline to submit a Claim Form is August 21, 2025.